A retrospective review of a 2-year strong antimicrobial stewardship program in a tertiary care institute in Mumbai.

Background Information: Many institutes have implemented a strict antimicrobial stewardship (AMS) program in the postantibiotic era.

Aim: To investigate how the resistance pattern changes after implementation of a stringent AMS programme.

Methodology: It employs a defined daily dose methodology (DDD).

Energy expenditure in COVID-19 mechanically ventilated patients: A comparison of three methods of energy estimation.

Background: Indirect calorimetry (IC) is the gold standard for measuring resting energy expenditure. Energy expenditure (EE) estimated by ventilator-derived carbon dioxide consumption (EEVCO ) has also been proposed. In the absence of IC, predictive weight-based equations have been recommended to estimate daily energy requirements.

Hepatobiliary malformations: proposed updation of classification system, clinicopathological profile and a report of largest pediatric giant choledochal cyst.

Background: The present study was aimed to update the classification of hepatobiliary malformations and study the clinicopathological profile of pediatric choledochal cyst (CDC) and pediatric giant choledochal cyst (GCC) patients undergone surgery.

Methods: We have retrospectively analysed the data of 57 consecutive cases of CDCs in paediatric patients from a time period spanning from 2016 to 2020.

Results: Revised classification of hepatobiliary malformations was proposed and these were divided into 2 broad headings, choledochal (congenital and acquired) and extra-choledochal spectrum.

Correlation between CSF Glucose Estimation using Glucometers against the Conventional Laboratory Technique in Determining Bacterial Meningitis: An Indian Study.

Bacterial meningitis remains a disease with devastating attack rates and growing drug resistance among causative bacteria. Early diagnosis and timely management has an implication on the prognosis and outcome. However, lack of laboratory facilities, travel time for the sample to reach the laboratory and the laborious laboratory methods may result in deferment in precise treatment resulting in avoidable morbidity and mortality.

Periampullary Diverticula and ERCP Outcomes: A Systematic Review and Meta-Analysis.

Introduction: Periampullary diverticulum (PAD) is most often asymptomatically found in elderly population. ERCP in the presence of PAD is technically challenging since the location and orientation of the ampulla could be altered. Various studies have reported differing results on the technical success and safety outcomes of ERCP in the presence of PAD.

A Clinical Conundrum Called Amitraz Poisoning - A Case Report.

Amitraz is a nonsystemic insecticide and acaricide which is sometimes also used as scabicide. Due to its widespread use, amitraz poisoning has emerged during the past decade and a half although the literatures on human intoxication cases are scarce. Amitraz poisoning can present with numerous symptoms involving central nervous, cardiovascular, and respiratory systems.

Making Nutrition Management Scientific, Objective and Simple with the Help of Technology.

Nutrition management is one of the cornerstones of care in the management of hospitalized patients, especially, for those who are critically ill. Significant numbers of hospitalized patients have alteration in appetite and the function of the gastrointestinal tract. Calculating the caloric goal, prescribed proteins to be delivered in a finite amount of water at a certain rate is the need of the hour and it becomes a daunting task to complete daily.

Epidemiology of diabetic foot infections in a reference tertiary hospital in India.

Introduction: The present study attempts to examine the microbial profile and antibiotic susceptibility of diabetic foot infections in the intensive care unit of a tertiary referral centre for diabetic foot. As part of the study, we also attempted to find the prevalence of blaNDM-like gene among carbapenem-resistant gram negative infections.

Methodology: A prospective study of 261 patients with diabetic foot infections was performed during the period between January 2014 and June 2014.

Endovascular treatment of HIV-associated spontaneous common carotid artery pseudoaneurysm in a case of miliary and CNS tuberculosis.

HIV and tuberculosis infections are known to be associated with vasculopathy including occlusive disease and aneurysm formation. We report a case of 43-year-old male with miliary and central nervous system (CNS) tuberculosis; recently, diagnosed as HIV seropositive, on antiretroviral and antitubercular treatment presenting with painful neck swelling. He was found to have common carotid artery (CCA) pseudoaneurysm that was managed by endovascular stent grafting.

Act Fast as Time Is Less: High Faecal Carriage of Carbapenem-Resistant in Critical Care Patients.

Introduction: Carbapenem-resistant (CRE) are drug-resistant Gram-negative bacteria that are present in the community as well as in hospitals. Their infection and colonisation puts critically ill patients at high risk due to the drug-resistant nature of the strains and possible spreading of these organisms, even in a hospital environment.

Aim: To examine the presence and types of species in patients admitted directly from the community.

Waging war against extended spectrum Beta lactamase and metallobetalactamase producing pathogens- novel adjuvant antimicrobial agent cse1034- an extended hope.

Unlabelled: Preamble: In the visage of multidrug resistance among gram negative bacilli, we look forward to carbapenem group of drugs as empiric choice in seriously ill patients. However increasing resistance to carbapenems, the last resort, is of growing concern for all. It's high time to look beyond Carbapenems and emphasize on Carbapenem sparers.